HYGIENIC ASPECTS OF THE MEDICAL WORKER’S SAFETY AND THE PROBLEM OF THE EVALUATING PROFESSIONAL RISK
The article reflects methodological approaches to the construction of a priori models for assessing the occupational risk of medical workers in physiotherapeutic departments of sanatoriums under the influence of a complex of negative factors of the production environment. The authors carried out a comprehensive hygienic assessment of the occupational risk of medical personnel with the combined use of physiotherapeutic procedures in one of the sanatoria and resort institutions of the Altai Territory. The main objectives of the study were to measure physical, radiation and chemical factors in the work environment at workplaces of medical personnel and to calculate the degree of the occupational risk of workers in accordance with a priori risk assessment models. Based on the results of measurements of physical factors at workplaces of medical workers of physiotherapeutic departments, it is possible to conclude that complex harmful effects include inadequate levels of the air temperature in the work area, artificial illumination, air ionic composition of air and electromagnetic fields. The calculated risk was 0.0975, which corresponds to a moderate risk. The obtained results testify to the existence of a risk, the level of which cannot be neglected, despite the compliance of the level of impact with normative documents. The results of studies of the radiation factor at workplaces in the radon therapy department indicate the equivalent equilibrium radon volume activity to range from 25-109 Bq/m³,and the ambient dose equivalent of gamma radiation in the range of 0.15-0.18 μSv/h, which corresponds to hygienic standards. Therefore, the use of risk-oriented models seems reasonable even in working conditions that are not harmful or dangerous according to the criteria for a special assessment of working conditions. The leading role of electromagnetic radiation for this category of workers is proved in the course of calculations using risk-oriented models of professional risk assessment. It is proposed to develop measures to reduce the electromagnetic load, taking into account the medium and short-term outlook, with an annual review of the degree of occupational risk.
About the authorsSaldan I.P.
Potseluev Nikolay Yu.
Dubel’ E.V., Unguryanu T.N. Hygienic assessment of working conditions medical personnel of clinical and paraclinical departments of the hospital. Gigiena i sanitariya. 2016; 1: 53-7. (in Russian)
Bektasova, M.V., Sheparev A.A., Lastova E.V., Potapenko A.A. The causes of the health impairment of medical workers in medical and preventive institutions in Vladivostok. Meditsina truda i promyshlennaya ekologiya. 2006; 12: 18-20. (in Russian)
Potapenko A.A., Sivochalova O.V., Denisov E.I. Working conditions and health status of women - health workers. Meditsina truda i promyshlennaya ekologiya. 2008; 4: 12-9. (in Russian)
Zielinski J.M., Garner M.J., Band P.R., Krewski D., Shilnikova N.S., Jiang H., Ashmore P.J., Sont W.N., Fair M.E., Letourneau E.G., Semenciw R. Health outcomes of low-dose ionizing radiation exposure among medical workers: a cohort study of the Canadian national dose registry of radiation workers. International Journal of Occupational Medicine and Environmental Health. 2009; 22: 149-56.
Ofei-Dodoo S., Scripter C., Kellerman R. Job Satisfaction and Burnout among Nonclinical Workers in a Medical Education Center. Fam Med. 2018; 50: 223-2.
Xu X.S., Zhang L.A., Sun Q.F., Qin Y.C., Yu N.L. Estimation of the occupational exposure dose for medical diagnostic X-ray workers in Jiangsu, China, using a retrospective dosimetry method. J Radiat Res. 2018; 59: 141-8.
Denić L.M., Ostrić I., Pavlović A., Dimitra K.O. Knowledge and occupational exposure to blood and body fluids among health care workers and medical students. Acta Chirurgica Iugoslavica. 2012; 59: 71-5.
Liao J.C., Ho C.H., Chiu H.Y., Wang Y.L., Kuo L.C., Liu C., Wang J.J., Lim S.W., Kuo J.R. Physiotherapists working in clinics have increased risk for new-onset spine disorders: a 12-year population-based study. Medicine (Baltimore). 2016; 95 (32): 440-5.
Mel’tser A.V., Kiselev A.V. Methodical approaches to the assessment of occupational risk. Vestnik Sankt-Peterburgskoi gosudarstvennoi meditsinskoi akademii im. I.I. Mechnikova. 2006; 1: 57-9. (in Russian)
Kiselev A.V., Mel’tser A.V. Information about risk - methodological aspects of ensuring sanitary and epidemiological safety of the population. Profilakticheskaya i klinicheskaya meditsina. 2014; 4: 6-9. (in Russian)
Onishchenko G.G. Assessment and management of health risks as an effective tool for solving the problems of ensuring the sanitary and epidemiological well-being of the population of the Russian Federation. Analiz riska zdorov’yu. 2013; 1: 4-14. (in Russian)
Onishchenko G.G., Popova A.Yu., Zaitseva N.V., Mai I.V., Shur P.Z. Analysis of the health risk in the tasks of improving sanitary and epidemiological surveillance in the Russian Federation. Analiz riska zdorov’yu. 2014; 2: 4-13. (in Russian)
Biblin A.M. Methodological approaches to health risk assessment in hygiene research. Radiatsionnaya gigiena. 2013; 2: 31-8. (in Russian)
Smagulov N.K., Khanturina G.R., Kozhevnikova N.G. The urgency of the problem of occupational health of medical workers. International Journal of Experimental Education. 2013; 11: 52-6. (in Russian)
Bektasova M.V., Kaptsov V.A., Sheparev A.A. Professional morbidity of medical workers in Primorsky Krai (2005-2014). Gigiena i sanitariya. 2017; 3: 258-60. (in Russian)
Zaitseva N.V., Mai I.V., Shur P.Z. Analysis of the risk to the health of the population at the present stage. Zdravookhranenie Rossiiskoi Federatsii. 2013; 2: 20-4. (in Russian)
Zaitseva N.V., Shur P.Z., Mai I.V., Kir’yanov D.A. On the application of forecasting the evolution of health risks in hygiene assessments. Gigiena i sanitariya. 2016; 1: 106-12. (in Russian)
Zaitseva N.V., Popova A.Yu., Mai I.V., Shur P.Z. Methods and technologies of health risk analysis in the public administration system while ensuring sanitary and epidemiological welfare of the population. Gigiena i sanitariya. 2015; 2: 93-8. (in Russian)
Avkhimenko M.M. Some Risk Factors for Medical Work. Meditsinskaya pomoshch’. 2003; 2: 25-9. (in Russian)
Gorblyanskiy, Yu.Yu. Actual issues of occupational morbidity of medical workers. Meditsina truda i promyshlennaya ekologiya. 2003; 1: 8-12. (in Russian)
Oborina S.V., Telesheva L.F., Kharunzhin V.V., Shestakova A.A. The influence of the production environment on the state of the immune system in the clinical laboratory service. Gigiena i sanitariya. 2012; 11: 52-6. (in Russian)
Health risk analysis in the strategy of state social and economic development. Monograph under the general editorship by G.G. Onishchenko, N.V. Zaitseva. Perm’, 2014. 738 pp. (in Russian)
Guidelines of limits of exposure to radiofrequency electromagnetic fields in the frequency range from 100 kHz to 300 GHz. Health Physics. 1998; 4: 494-522.
Sorokin G.A. Age and trainee dynamics of health indicators of workers as a criterion for comparing professional and non-professional risks. Gigiena i sanitariya. 2016; 4: 355-60. (in Russian)
Mel’tser A.V., Kiselev A.V. Hygienic rationale for combined risk assessment models. Meditsina truda i promyshlennaya ekologiya. 2009; 4: 1-5. (in Russian)
Ibraev S.A., Zharylkasyn Zh.Zh., Otarov E.Zh., Koigel’dinova Sh.S., Pankin Yu.N., Terekhin S.P., Kalishev M.G., Zhumabekova G.S., Alekseev A.V., Izdenov A.K., Kaktaev O.O. The program complex for monitoring the occupational health risks of workers. Gigiena i sanitariya. 2018; 2: 171-4. (in Russian)
Grafkina M.V., Sviridova E.Yu.Investigation of electromagnetic fields of power lines and recommendations for reducing their negative impact. Vestnik Belgorodskogo gosudarstvennogo tekhnologicheskogo universiteta im. V.G. Shukhova. 2010; 2: 133-5. (in Russian)
Bongers S, Slottje P., Portengen L., Kromhout H. Exposure to static magnetic fields and risk of accidents among a cohort of workers from a medical imaging device manufacturing facility. Magn Reson Med. 2016; 75 (5): 2165-74.
Shah S.G., Farrow A. Systematic literature review of adverse reproductive outcomes associated with physiotherapists’ occupational exposures to non-ionising radiation. J Occup Health. 2014; 56 (5): 323-31.
Andrikopoulos A., Adamopoulos A., Seimenis I., Koutsojannis C. Microwave diathermy in physiotherapy units: a survey on spatial and time heterogeneity of the electromagnetic field. J Radiol Prot. 2017; 37 (2): 27-41.
Pal’tsev Yu.P., Pokhodzey L.V., Rubtsova N.B., Perov S.Yu., Belaya O.V. Modern principles and means of protecting workers from the adverse effects of electromagnetic fields of the radio frequency range. Gigiena i sanitariya. 2017; 5: 451-5. (in Russian)
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